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Innate immunity: sensing and signalling Eicke Latz and Katherine A. Fitzger ald In response to microbial products, distinct families of pattern-r ecognition receptors initiate intracellular signalling events that lead to complex immune responses designed to eliminate invading pathogens. These include receptors that recognize conserved molecular patterns derived from bacteria, viruses, protozoa and fungi (the TLRs), receptors that sense fungi (the CLRs), and receptors in the cytosol that sense viral nucleic acids (the RLRs and DAI) or bacterial products (the NLRs). The NLRs also sense endogenous products released by dying cells. These receptors, with the exception of the NALP proteins of the NLR family, recruit adaptor molecules, which in turn create multi-pr otein platforms to which additional kinases, transcription factors and possibly other molecules are recruited. These events ultimately lead to the expression of genes that encode key factors that regulate the immune response. Some of these factors require additional processing, which is carried out by members of the NLR family. Given the rapidity at which such interactions have been described, here, we attempt to summarize our curr ent understanding of these events in an effort to provide a framework for future studies. Innate immune receptors LBP LPS CD14 TLR1, TLR2, TLR6 TLR4 TLR5 TLR11 Dectin-1 LRR MD2 Fc RIII (CD16) MAIRI TREM1 Dectin-2 FcR DAP12 TIR domain Cytoplasm Mitochondrion TRIM25 MDA5 TRIF MyD88 TRAM MAL ITAM IPS1 RIG-I DAI IL-1 Pro-caspase-1 TANK NAP1 SINTBAD p38 JNK P ATF2 P JUN Pro-caspase-8 P P IRF3 P P IRF7 IRF3 P P P P IRF3 IRF3 P P TAK1 p38 JNK MALT1 TAK1 IRAK1 IRAK1 TRAF6 TRAF6 TRAF3 TRAF6 P ATF2 P JUN P P IRF5 P P IRF5 IRF7 IRF1 P P IRF5 IRF7 P P IRF1 TAB2 TAB3 Pro-IL-1 IRAK1 IRF5 CARD9 BCL-10 CARD9 Active caspase-1 IKK IKK IKK MAPKK P I B p50 p65 p50 p65 TAB2 TAB3 CARD9 Proteolytic cleavage TRAF6 IKK IKK IKK IRF7 NOD RIP2 Proteolytic cleavage IRAK2, IRAK4 TAK1 Caspase-8 TBK1 IKK IKK MAPKK NALP3 inflammasome RIP1 FADD P P ASC Endosome TRAF3 P P NOD1 or NOD2 TLR7, TLR8, TLR9 TLR3 P P P NALP3 IPS1 Ub P SYK P P P NFAT P I B p50 p65 NFAT p50 p65 MAPKK p38 JNK P ATF2 P JUN P P NF- B Nucleus Type I IFNs MedImmune MedImmune strives to provide better medicines to patients, new medical options for physicians and rewarding careers to employees. Dedicated to advancing science and medicine to help people live better lives, the company is focused on the areas of infectious disease, cancer and inflammatory disease. The company’s marketed products include Synagis® (palivizumab) and FluMist® (Influenza Virus Vaccine Live, Intranasal), with additional products in clinical testing. MedImmune has multiple programs underway to develop potential treatments targeted at a variety of respiratory and inflammatory diseases such as asthma, lupus and rheumatoid arthritis. With approximately 3,000 employees worldwide and headquarters in Maryland, USA, MedImmune is wholly owned by AstraZeneca plc (LSE: AZN.L, NYSE: AZN). For more information, visit the company’s website at www.medimmune.com. Pro-inflammatory cytokines including pro-IL-1 Abbreviations AraLAM, non-mannose-capped lipoarrabinomannan; ASC, apoptosisassociated speck-like protein containing a CARD; ATF2, activating transcription factor 2; BCL-10, B-cell lymphoma 10; BIR, baculoviral IAP repeat; CARD, caspase-recruitment domain; CLR, C-type lectin receptor; CPPD, calcium pyrophosphate dihydrate; DAI, DNA-dependent activator of IRFs; DC, dendritic cell; dsDNA, double-stranded DNA; FADD, FAS-associated via death domain; Fc R, Fc receptor for IgG; FcR, Fc receptor; FIIND, function-to-find domain; GIPL, glycoinositolphospholipid; I B, inhibitor of NF- B; iE-DAP, - -glutamyl-meso-diaminopimelic acid; IFN, interferon; IKK, I B kinase; IL, interleukin; IPAF, ICE-protease activating factor; IPS1, IFNB-promoter stimulator 1; IRAK, IL-1 receptor-associated kinase; IRF, IFNregulatory factor; ITAM, immunoreceptor tyrosine-based activation motif; JNK, JUN N-terminal kinase; LBP, LPS-binding protein; LPS, lipopolysaccharide; LRR, leucine-rich repeat; LTA, lipoteichoic acid; MAL, MyD88-adaptor-like protein; MALT1, mucosa-associated-lymphoid-tissue lymphoma-translocation gene 1; MAPK, mitogen-activated protein kinase; MAPKK, MAPK kinase; Type I IFNs MDA5, melanoma differentiation-associated gene 5; MDP, muramyl dipeptide; MMTV, mouse mammary tumour virus; MSU, monosodium urate; MyD88, myeloid differentiation primary-response gene 88; NACHT, domain present in NAIP, CIITA, HET-E and TP1; NAIP, neuronal apoptosis inhibitory protein; NALP, NACHT-, LRR- and PYD-domain-containing protein; NAP1; NAKassociated protein 1; NFAT, nuclear factor of activated T cells; NF- B, nuclear factor- B; NLR, nucleotide-binding domain LRR-containing family; NOD, nucleotide-binding oligomerization domain; Pam2CSK4, Pam2Cys-Ser-LysLys-Lys-Lys; PGN, peptidoglycan; PI5K, phosphoinositide 5-kinase; PKC, protein kinase C; polyI:C, polyinosinic–polycytidylic acid; PtdIns(4,5)P2, phosphatidylinositol-4,5-bisphosphate; PYD, pyrin domain; RIG-I, retinoicacid-inducible gene I; RIP, receptor-interacting protein; RLH, RIG-I-like RNA helicases; RLR, RIG-I-like receptor; RSV, respiratory syncytial virus; SINTBAD, similar to NAP1 TBK1 adaptor; ssRNA, single-stranded RNA; SYK, spleen tyrosine kinase; TAB, TAK1-binding protein 1; TAK, TGF activated kinase; TANK, TRAF-family-member-associated NF- B activator; TBK, TANK-binding kinase; TIR, Toll/IL-1 receptor; TLR, Toll-like receptor; Pro-inflammatory cytokines TNP, trinitrophenyl; TRAF, TNF-receptor-associated factor; TRAM, TRIFrelated adaptor molecule; TREM, triggering receptor expressed on myeloid cells; TRIF, TIR-domain-containing adaptor protein inducing IFN ; TRIM25, tripartite-motif-containing 25; Ub, ubiquitin. Affiliations Eicke Latz and Katherine Fitzgerald are at the Division of Infectious Diseases & Immunology, University of Massachusetts Medical School, 364 Plantation Street, Worcester, Massachusetts 01605, USA. e-mails: eicke.latz@ umassmed.edu; kate.fitzgerald@ umassmed.edu Edited by Olive Leavy; copy edited by Marta Tufet; designed by Simon Bradbrook. 2008 Nature Publishing Group. http://www.nature.com/nri/poster/innate RLRs and DAI. The cytoplasm contains proteins that sense DNA or RNA derived from invading viruses. RNA is recognized by the RLR family of proteins, which consists of at least two members, RIG-I and MDA5. LGP2, a related family member (not depicted), may act as a negative regulator of these receptors by sequestering RNA. RIG-I recognizes 5 -triphosphate RNAs, whereas MDA5 is thought to sense dsRNA. The E3-ubiquitin ligase TRIM25 induces ubiquitylation of RIG-I, which is essential for RIG-I function. The RLRs contain CARD domains that recruit IPS1 (also known as CARDIF, MAVS or VISA), which is an adaptor molecule that is tethered to the mitochondria. IPS1 associates with the E3-ubiquitin ligase TRAF3 and activates the IKK-related kinases TBK1 and IKK , which phosphorylate and activate IRF3 and IRF7, the key regulators of type I IFN gene transcription in most cell types. IKK , TANK, NAP1 and SINTBAD form a complex with these kinases. IPS1 also induces NF- B activation through FADD and caspase-8 and/or caspase-10, and activates the MAPKs p38 and JNK. Cells also contain DNA sensors in the cytoplasm. One such protein DAI (also known as ZBP1) binds dsDNA and activates IRF3 through TBK1. TLRs. The TLRs are type I transmembrane receptors found on the plasma membrane or in endosomal compartments. Upon ligand binding, they recruit adaptor molecules through TIR–TIR interactions. Signalling by TLR5, TLR7, TLR8, TLR9 and TLR11 relies solely on MyD88, whereas TLR1, TLR2 and TLR6 also recruit MAL (also known as TIRAP). TLR3 signals independently of MyD88 and MAL through TRIF (also known as TICAM1). TLR4 uses MAL and TRAM to recruit MyD88 and TRIF. MAL is targeted to the plasma membrane through a PtdIns(4,5)P2-binding domain, whereas TRAM is anchored though myristoylation at its N-terminus. PKC regulates TRAM function (see TLR4 inset). Signalling through these adaptorsNLRs leads to either NF- B or IRF3 activation. NALP1 IRAK2 and IRAK4, activated by MyD88, are crucial for NF- B activation. CARD They enable the recruitment and activation of TRAF6, which activates Caspase-5 TAK1 through K63-linked polyubiquitylation. TAK1 in turn activates the FIIND NALP3 IPAF IKK complex, which phosphorylates I B andNAIP targets it for ubiquitylation LRR degradation by the proteasome. NF- B is then released, and subsequent translocates to the nucleus and regulates the expression of its target genes, which include pro-inflammatory cytokines. TAK1 also controls NAD activation of the MAPK pathway. TRIF activates NF- B through RIP1, NACHT and activates IRF3 through TRAF3, which associates with TBK1 and IKK leading to type I IFNASC gene transcription. PYD TLR7, TLR8 and TLR9 activate NF- B as BIR well as IRF1, IRF5 and IRF7 through MyD88. In plasmacytoid DCs IRF7 is a crucial factor for IFN production, whereas IRF1 and IRF5 control the IFN response in conventional DCs. IKK is thought to have a role in IRF7 activation Caspase-1 in plasmacytoid DCs. IRF5 is activated downstream of most, if not all, the TLRs through MyD88 and IRAK1 and in this case regulates proinflammatory cytokine production. NLRs. This large receptor family of more than 20 proteins in humans contains NOD1, NOD2, NALPs, IPAF and NAIP. The NOD proteins recognize different moieties of bacterial PGN and activate NF- B through RIP2 (also known as RICK) and MAPK through CARD9. NALPs and IPAF form multimolecular complexes termed ‘inflammasomes’ following their activation. NALP3 recruits the adaptor molecule ASC that in turn recruits pro-caspase-1, which is activated by autocatalytic cleavage. Cleaved caspase-1 catalyses proteolytic processing of pro-IL-1 (and pro-IL-18, not shown) into the active cytokines that are then released. CLRs. Activation of members of the CLR protein family can induce the production of pro-inflammatory cytokines, promote phagocytosis and elicit a respiratory burst. SYK interacts with phosphotyrosines within ITAMs in dectin-1 or in associated signalling chains to initiate a CARD9dependent activation of the BCL-10–MALT1 complex. This complex can subsequently initiate NF- B signalling through the activation of the IKK complex. TREM proteins also associate with adaptor proteins that contain ITAMs to initiate CARD9 signalling. The CLRs trigger MAPK activation and in the case of dectin-1 activate NFAT in myeloid cells to regulate pro-inflammatory cytokine production.